Claim total
$93.97
base $93.39 · payer covered $75.17
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-06-09
- Stop
- 2023-06-09
The parties
- Patient
- patient Jewel Chi Harris
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
05c57aa9-c3e8-2f04-700c-f3d7a33b7ccc